Ectopic pregnancy associated with fallopian tube adenocarcinoma


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Abstract

Background. Fallopian tube cancer (FTC) is an extremely rare, difficult diagnostic malignant disease of the female reproductive system. The world literature describes single cases of FTC concurrent with tubal pregnancy. Description. The paper describes a clinical case of diagnosed FTC after surgical treatment for tubal pregnancy. Patient P., aged 34 years, who had complained of vaginal bleeding and tensive pain in the right iliac region, was admitted to the Bakhrushins Brothers City Clinical Hospital. After complete clinical and laboratory examinations diagnosed right ectopic pregnancy, emergency surgical treatment was performed as laparoscopy and rightsided tubectomy. The postoperative period was uncomplicated; the patient was discharged home in satisfactory condition. Histological examination revealed the growth of well-differentiated fallopian tube adenocarcinoma and confirmed the diagnosis of ectopic pregnancy. The diagnosis was verified by immunohistochemical study Conclusion. Preoperative diagnosis of FTC is extremely difficult; therefore the elaboration of a clear algorithm for the diagnosis and treatment of this condition is one of the important tasks in gynecologic oncology.

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About the authors

Sergey Aleksandrovich LEVAKOV

PhD, professor, head of the Department of Obstetrics and Gynecology, I.M. Sechenov First Moscow State Medical University. Moscow 119991, Trubetskaya str. 8, bld. 2, Russia

Natalya Alekseevna SHESHUKOVA

PhD, professor of the Department of Obstetrics and Gynecology, I.M. Sechenov First Moscow State Medical University Moscow 119991, Trubetskaya str. 8, bld. 2, Russia

Olesya Viktorovna BOLSHAKOVA

MD, PhD, associate professor of the Department of Obstetrics and Gynecology, Federal Research and Clinical Center of Specialized Types of Medical Care and Medical Technologies, FMBA of Russia. Moscow 115682, Orekhovy b-r 28, Russia

Anna Vyacheslavovna TIGIEVA

MD, PhD, gynecologist of the Division of Gynecology, Bakhrushins Brothers City Clinical Hospital, Moscow Healthcare Department Moscow 107014, Stromynka str. 7, Russia

Andrey Valentinovich DOBRYAKOV

MD, PhD, head of the Division of Pathology, Bakhrushins Brothers City Clinical Hospital, Moscow Healthcare Department. Moscow 107014, Stromynka str. 7, Russia

Elizaveta Aleksandrovna OBUKHOVA

resident of the Department of Obstetrics and Gynecology, I.M. Sechenov First Moscow State Medical University. Moscow 119991, Trubetskaya str. 8, bld. 2, Russia

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